Organization
SAFE SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON BROWN (CEO)
(920) 252-9024
Entity
Organization
Contact information
Practice address
1467 S 9TH ST, LOUISVILLE, KY 40208-2254
(502) 618-0835
(502) 665-0500
Mailing address
1467 S 9TH ST, LOUISVILLE, KY 40208-2254
(502) 618-0835
(502) 665-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
05/10/2025
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